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New Mexico rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.77 / $13.77 / $13.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $18.79 / $89.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.95 / $19.93 / $23.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $16.29 / $16.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $31.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.24 / $36.56 / $54.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $7.52 / $18.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $16.29 / $28.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.45 / $26.45 / $31.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $11.65 / $17.55